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NOTE: There is a $350 minimum policy premium, subject to applicable provincial sales tax.
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You are requested to review this indication to confirm that is accurately reflects the coverage, limits and other terms you require. If the indication of terms and coverage does not match your needs please advise us immediately.
The coverage above as presented is only a summary and is subject to the detailed terms, provisions and conditions of the policy to which it pertains.
1. Must be owner/lessee of vehicle.
2. Additional driver must be listed. (Instructor is automatically included without being listed.)
3. Event must be on an “Authorized Circuit”.
4. No Racing Activity.
I UNDERSTAND THAT THIS APPLICATION AND ALL INFORMATION SUPPLIED IS PART OF THE APPLICATION PROCESS AND WILL BE RELIED UPON BY THE INSURANCE COMPANY IN DETERMINING WHETHER TO PROVIDE THE INSURANCE COVERAGE HEREIN REQUESTED. ANY MATERIAL MISREPRESENTATION OR FALSE STATEMENT MAY ENTITLE THE INSURANCE COMPANY TO RESCIND THE POLICY, VOIDING ALL INSURANCE COVERAGE. I HEREBY WARRANT, REPRESENT AND CONFIRM THAT I HAVE READ ALL OF THE QUESTIONS AND ANSWERS ON THIS APPLICATION AND THAT, TO THE BEST OF MY KNOWLEDGE, ALL INFORMATION PROVIDED IN THIS APPLICATION IS COMPLETE, TRUE AND CORRECT.
IT IS UNDERSTOOD AND AGREED THAT NO INSURANCE IS IN EFFECT UNTIL THIS APPLICATION IS ACCEPTED BY THE COMPANY OR COMPANIES IN WRITING.
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